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General NPI Number Information
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NPI Number | 1235156886
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Entity Type | Organization
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Legal Business Name | MAULDIN'S APOTHECARY INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 STORK WAY
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City | SENECA
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State | SC
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Zip | 29678-1039
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Country | US
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Telephone | 864-888-2232
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Fax | 864-888-8543
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Provider Business Mailing Address
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Address Line | 205 STORK WAY
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City | SENECA
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State | SC
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Zip | 29678-1039
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Country | US
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Telephone | 864-888-2232
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Fax | 864-888-8543
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM T. MAULDIN
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Credential | RPH.
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Telephone | 864-888-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50003615
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License Number State | SC
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